Home›South Dakota›Lake County›Bethel Lutheran Home
B
Good

Bethel Lutheran Home

1001 S EGAN AVE · MADISON, SD 57042

6052564539 · Non profit - Church related

59 beds52.1 residents107 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A
Very Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Bethel Lutheran Home receives an overall staffing grade of B (Good). With 3.8197 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.08 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.44% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.8197hrs/resident/day▼ 0.08
CMS benchmark: 3.48
RN HPRD
0.7732hrs/resident/day▲ 0.09
Recommended: 0.75
Weekend Drop-off
21.44%
4.0661 weekday → 3.1943 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.3733hrs/resident/day
Direct care aides
LPN HPRD
0.3951hrs/resident/day
Licensed practical nurses
Consistency
0.7141std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lake County Average+0.00 HPRD
3.82
03.82 HPRD
vs. South Dakota State Average-0.01 HPRD
3.83
03.82 HPRD
vs. National Average-0.08 HPRD
3.90
03.82 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Bethel Lutheran Home ★
MADISON · This facility
—
B
3.81970.7732★★☆☆☆
GOOD SAMARITAN SOCIETY HOWARD
HOWARD
20.7 mi
B
3.56960.8313★★★★★
DELLS NURSING AND REHAB CENTER INC
DELL RAPIDS
22.9 mi
C
3.23160.8024☆☆☆☆☆
FLANDREAU SANTEE SIOUX TRIBE CARE CENTER
FLANDREAU
25.6 mi
A+
7.16631.7896★★★☆☆
RIVERVIEW HEALTHCARE CENTER
FLANDREAU
26.4 mi
B
3.65790.695★☆☆☆☆
UNITED LIVING COMMUNITY
BROOKINGS
26.7 mi
C
4.67430.454★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
12
Total Deficiencies
$82,498
Fines Assessed
Jul 17, 2025Health
7 deficiencies cited· Includes actual harm
▼
Nov 6, 2024Health
1 deficiency cited· Includes actual harm
▼
Jan 18, 2024Health
3 deficiencies cited
▼
Jan 26, 2023Health
1 deficiency cited
▼

Penalty History

Jul 17, 2025Fine
$74,480
Nov 6, 2024Fine
$8,018
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.